Evidence map›Paper›PMID 30935337›Full record

ArticleThe Journal of manual & manipulative therapy2019

Diagnostic accuracy and validity of three manual examination tests to identify alar ligament lesions: results of a blinded case-control study.

Piekartz Harry Von, Rakan Maloul, Marisa Hoffmann, Toby Hall, Med Martin Ruch, Nicolaus Ballenberger

Open access · greenAbstract readValidation Study
In one paragraph

Article in The Journal of manual & manipulative therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Article
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  4. Upper cervical spine dysfunction and dizziness.Journal of exercise rehabilitation · 2020
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Piekartz Harry Vona Department of Physical Therapy and Rehabilitationscience , University of Applied Science Osnabrueck , Osnabrueck , Germany.ORCID http://orcid.org/0000-0002-4509-929X
Rakan Maloulb Department of Physical Therapy and Rehabilitation , University of Applied Science Osnabrück , Osnabrueck , Germany.
Marisa Hoffmannc Privatpraxis Schwerpunkte Manuelle Therapie Kiefer-/Kopf-/Gesichtsschmerz , Nieder-Olm , Germany.
Toby Halld School of Physiotherapy and Exercise Science , Curtin University , Perth , Australia.ORCID http://orcid.org/0000-0003-4461-7259
Med Martin Ruche Die Radiologen Weiterstadt Dr. Martin Ruch , Weiterstadt- D , Germany.
Nicolaus Ballenbergerf Department of Physical Therapy and Rehabilitationscience , University of Applied Science , Osnabrueck , Germany.
Curtin University · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionTests to evaluate the integrity of the alar ligaments are important clinical tools for manual therapists, but there is limited research regarding their validity.

methodA single blinded examiner assessed alar ligament integrity using the lateral shear test (LST), rotation stress test (RST) and side-bending stress test (SBST) on a sample of convenience comprising 7 subjects with MRI confirmed alar ligament lesions and 11 healthy people. Alar ligament lesions were identified using both supine and high-field strength upright MRI.

resultsThe RST had a sensitivity of 80% and a specificity of 69.2%. The SBST and the LST both showed a sensitivity of 80% and a specificity of 76.9%. In cases where all three tests were positive, the specificity increased to 84.6%. DISCUSSION: Tests of manual examination of alar ligament integrity have some diagnostic utility; however, these findings require further corroboration in a larger sample.

Indexed as

AdultCase-Control StudiesFemaleHumansLigaments, ArticularMagnetic Resonance ImagingMaleMiddle AgedMusculoskeletal ManipulationsNeckNeck InjuriesPhysical ExaminationReproducibility of ResultsRotationSensitivity and SpecificityShear StrengthAlar ligamentsclinical testsvalidity – MRI

Identifiers

PMID30935337
PMCPMC6484502
OpenAlexW2901145598

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.